Med Ed : Making sense of medication. A reflective exercise… In your practice: Do you work with...

Med Ed : Making sense of medication

A reflective exercise…A reflective exercise…

In your practice: Do you work with youth who take medications? Do you feel that youth have enough information

about their medications? Are you asked to find information about

medications for your clients?

Today’s presentationToday’s presentation

Background and context Resource development Description Using Med Ed Training Evaluation Next steps

Background and contextBackground and context Youth taking psychotropic

medications often do not know enough about these medications

Youth-oriented materials are very hard to find

Most resources don’t work to promote dialogue between youth, caregivers, and health providers

Resource DevelopmentResource Development

The teamThe team

Developers2 pharmacists (Drs. Andrea Murphy and David Gardner)

1 psychiatrist (Dr. Stan Kutcher)

PartnersThe Provincial Centre of Excellence for Child and Youth Mental Health at CHEO(Drs. Ian Manion and Simon Davidson)

Other key peopleOther key people

Youth with mental illnesses Clinicians Graphic designer Plain language consultant Expert review panel

(Ontario) Legal consultation

Revisions Stakeholder

feedback

Revisions Stakeholder

feedback

Basic booklet template

Developing the contentDeveloping the content

1. Order of information

2. Style (font, size, graphics)

3. “Medicaleze”

4. Illustrations

5. Written at a grade 6 level

6. Concise, bulleted format

7. Consistent design and information

Description of Med EdDescription of Med Ed

The bookletThe booklet

Content rich Three main sections:

• Frequently asked questions (FAQs)

• Tools and checklists• Glossary

The passportThe passport

Portable, concealable Full of tools A companion to the booklet Abbreviated sections

• FAQs• Checklists

Med Ed ContentMed Ed Content

Contact informationContact information

General information and disclaimersGeneral information and disclaimers

Legal rights regarding meds in OntarioLegal rights regarding meds in Ontario

Q: What information should be provided to

me about my treatment?

Q: I consented to treatment, but now I’ve

changed my mind. What should I do?

FAQsFAQs Q: How long do I need to take this medication?

Q: Will taking this medication affect my relationship with my boyfriend/girlfriend?

Q: Everyone keeps talking about side

effects – what are they?

Med Ed information boxesMed Ed information boxes

Table of medicationsTable of medicationsClasses of drugs

Anti-anxiety and sleep medications

Common group namesBenzodiazapines

AntihistaminesAntidepressants

Common examplesGeneric nameTrade name

Side effectsSide effects

Med Ed ToolsMed Ed Tools

ChecklistsChecklists

Designed to support communication between clients and care providers

Lists questions to ask prescriber and pharmacist

Includes space to make notes

Checklist DocChecklist Doc

What is this medication for?

Should I avoid any foods or alcohol?

What are my other treatment options?

What should I do if I have an emergency?

TrackersTrackers

Also includes…Also includes…Medication listAppointments Notes pageGlossary

Med Ed PassportMed Ed Passport

Includes: FAQs Tools Trackers Medication list Appointments

Med Ed TrainingMed Ed Training Train-the-trainer model 19 trained Champions from across the

province in a range of roles, mostly in residential treatment facilities

Champions are currently providing training within their organizations

Ongoing support is provided to Champions via web portal and regular teleconferences

Med Ed evaluationMed Ed evaluation Focus

• Effectiveness of training, utility of tool for end-users

Sources• Champions, trained service providers, end-users

(youth and caregivers)

Methods • Questionnaires, telephone interviews

Preliminary findings related to trainingPreliminary findings related to trainingN Mean (/6)

The Med-Ed tool is easy to learn. 74 5.55

It is easy to use. 74 5.45

It is useful for decision-making for children and youth on psychotropic medications.

72 5.33

I can find the time to disseminate the Med-Ed tools.

73 4.90

It is too much trouble to apply. 74 2.26

It is consistent with other initiatives in our organization.

71 4.70

Preliminary findings related to the toolPreliminary findings related to the toolA good resource to help clients take ownership of their treatment…

Just a great way to engage kids in their health care…

This is a great idea and instrument with many possibilities…

…very informative for my every day administering of meds…(helps me to) recognize my need to do more reviews on clients' meds…

Evaluation next stepsEvaluation next steps• Continue to analyze data from new round

of champions and the service providers they train.

• Conduct and analyze semi-structured interviews with service providers, parents/caregivers, and youth.

Med Ed in your practice settingMed Ed in your practice setting

Just because Med Ed is available doesn’t mean it will be used

A number of variables influence whether or not health care innovations are adopted

Small group exerciseSmall group exercise What factors may influence the

uptake of Med Ed in your practice setting?

What are the barriers? What are the facilitators? What strategies can be used to

overcome barriers and capitalize on facilitators?

Next steps…Next steps…

Continued evaluation Second round of Champion training Planning for future dissemination

Purnima Sundar, PhDResearch and Knowledge Exchange Consultant

613.737.7600 ext. 3485psundar@cheo.on.cawww.onthepoint.ca

For more information:For more information: